Hours M, Bernard M, Montestrucq L, Arslan M, Bergeret A, Deltour I, Cardis E
Unité mixte de recherche épidémiologique et de surveillance transport travail environnement (INRETS/UCBL/InVS), faculté de médecine, domaine Rockefeller, 8, avenue Rockefeller, 69373 Lyon cedex 08, France.
Rev Epidemiol Sante Publique. 2007 Oct;55(5):321-32. doi: 10.1016/j.respe.2007.06.002. Epub 2007 Sep 11.
Use of cell phones has increased dramatically since 1992 when they were first introduced in France. Certain electromagnetic fields (at extremely low frequency) have been recognized as possibly carcinogenic by the International Agency for Research on Cancer. Given the use of radiofrequency technology in cell phones, the rapid increase in the number of cell phones has generated concerns about the existence of a potential health hazard. To evaluate the relationship between the use of cell phones and the development of tumors of the head, a multicentric international study (INTERPHONE), coordinated by the International Agency for Research on Cancer, was carried out in 13 countries. This publication reports the results of the French part of the INTERPHONE study.
INTERPHONE is a case-control study focused on tumors of the brain and central nervous system: gliomas, meningiomas and neuromas of cranial nerves. Eligible cases were men and women, residents of Paris or Lyon, aged 30-59, newly diagnosed with a first primary tumor between February 2001 and August 2003. The diagnoses were all either histologically confirmed or based upon unequivocal radiological images. Controls were matched for gender, age (+/-5 years) and place of residence. They were randomly drawn from electoral rolls. Detailed information was collected for all subjects during a computer-assisted face-to-face interview. Conditional logistic regression was used to estimate the odds ratio (OR) for an association between the use of cell phones and risk of each type of cancer.
Regular cell phone use was not associated with an increased risk of neuroma (OR=0,92; 95% confidence interval=[0.53-1.59]), meningioma (OR=0,74; 95% confidence interval=[0.43-1.28]) or glioma (OR=1.15; 95% confidence interval=[0.65-2.05]). Although these results are not statistically significant, a general tendency was observed for an increased risk of glioma among the heaviest users: long-term users, heavy users, users with the largest numbers of telephones.
No significant increased risk for glioma, meningioma or neuroma was observed among cell phone users participating in Interphone. The statistical power of the study is limited, however. Our results, suggesting the possibility of an increased risk among the heaviest users, therefore need to be verified in the international INTERPHONE analyses.
自1992年手机首次在法国推出以来,其使用量急剧增加。国际癌症研究机构已认定某些电磁场(极低频)可能具有致癌性。鉴于手机中使用了射频技术,手机数量的迅速增长引发了人们对潜在健康危害的担忧。为了评估使用手机与头部肿瘤发生之间的关系,由国际癌症研究机构协调的一项多中心国际研究(INTERPHONE)在13个国家开展。本出版物报告了INTERPHONE研究法国部分的结果。
INTERPHONE是一项病例对照研究,重点关注脑和中枢神经系统肿瘤:胶质瘤、脑膜瘤和颅神经鞘瘤。符合条件的病例为年龄在30至59岁之间、居住在巴黎或里昂、于2001年2月至2003年8月间首次被诊断为原发性肿瘤的男性和女性。所有诊断均经组织学证实或基于明确的放射影像。对照在性别、年龄(±5岁)和居住地点方面进行匹配。他们是从选民名单中随机抽取的。在计算机辅助的面对面访谈中收集了所有受试者的详细信息。采用条件逻辑回归来估计使用手机与每种癌症风险之间关联的比值比(OR)。
经常使用手机与神经鞘瘤风险增加无关(OR = 0.92;95%置信区间 = [0.53 - 1.59]),与脑膜瘤风险增加无关(OR = 0.74;95%置信区间 = [0.43 - 1.28]),也与胶质瘤风险增加无关(OR = 1.15;95%置信区间 = [0.65 - 2.05])。尽管这些结果无统计学意义,但在使用量最大的人群中观察到了胶质瘤风险增加的总体趋势:长期使用者、大量使用者、拥有电话数量最多的使用者。
参与INTERPHONE研究的手机使用者中,未观察到胶质瘤、脑膜瘤或神经鞘瘤风险显著增加。然而,该研究的统计效力有限。因此,我们的结果表明使用量最大的人群中存在风险增加的可能性,这需要在国际INTERPHONE分析中进行验证。